| Douglas Family Medicine, P.c. | |
|
1189 S Perry St Ste 230 Castle Rock CO 80104-1959 | |
| (303) 688-3434 | |
| (303) 688-4454 |
| Full Name | Douglas Family Medicine, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1189 S Perry St Ste 230, Castle Rock, Colorado |
| Authorized Official Name and Position | Belton Douglas Hallmark (PRESIDENT) |
| Authorized Official Contact | 3036883434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Family Medicine, P.c. 1189 S Perry St Ste 230 Castle Rock CO 80104-1959 Ph: (303) 688-3434 | Douglas Family Medicine, P.c. 1189 S Perry St Ste 230 Castle Rock CO 80104-1959 Ph: (303) 688-3434 |
| NPI Number | 1770602013 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 11/02/2021 |
| Medicare PECOS PAC ID | 0840390324 |
|---|---|
| Medicare Enrollment ID | O20070712000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770602013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23157 (Colorado) | Primary |
| Provider Name | Belton Douglas Hallmark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225018633 PECOS PAC ID: 4082663059 Enrollment ID: I20050117000355 |
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Portercare Adventist Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2356 Meadows Blvd Ste 140b, Castle Rock, CO 80109 Phone: 303-218-7774 Fax: 303-660-5065 | |
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